The renomedullary interstitial cells (RMIC) of rat were investigated using the method of HCl-Tween removing extracellular material and scanning electron microscope. According to the shape and distribution, the RMIC may be divided into 3 groups. However, most of RMIC belong to the first group.The cell of the first group is fibroblast-like, which has an irregular cylindrical body (about 2-6 ?m in short diameter and 5-12 ?m in long diameter) and several processes from both ends of the body. The processes from one end are distributed on the wall of the renal tubule (Henle's loop or collecting tubule); and those from the other end on the blood vessel, sometimes, with the vascular pedicles formed by the expanding of the process end. The long axis of the cells of the first group is perpendicular to the tubules and blood vessels, so the cells are bridged between them.The second group cell has a round body without process and is located at the body of the first group cell.The third group cell is star-like, which has a large body (about 5-8 ?m in diameter) and a few small processes. They are randomly distributed, and sometimes, arranged as a line along the blood vessel.

Objective To evaluate ANA and ANAs as a indacation of systemic sclerosis diagnostic.Method ANAs were tested in 58 patients with SSc and 20 healthy controls by indirect immunofluorescence (ⅡF)and immunoblot(IB).Results ⅡF-ANA results indicated that the positive of ANAs were 98.3%(57/58)in SSc,and ANA pattern were mainly homogeneous-nucleolar,IB-ENA results indicated that the antinuclear antibodies were mainly anti-Scl-70.anti-SSA and anti-nRNP in SSc.The positive of them were 63.8%、31.O%and 5.2%.Conclusions It suggested that the patients might have other autoimmune diseases or the dangerous of other autoimmune diseases,and the IB kits of euroimmun got better positives and specificities to ANAs,the method could provide more helps to diagnosis of SSc.

Carcinosarcoma ; Female ; Humans ; Maxillary Sinus Neoplasms ; Middle Aged

By using replica cast SEM method, the vascular architecture of the dental pulp of rat incisors was studied. The characteristics of the vascular architecture are as follows:1. The axis of the dental pulp is occupied by the central vascular bundle, which consists of 10 to 20 arterioles and 8 to 12 venules.2. The arterioles (30-50?m in diameter) and the venules (50-80?m in diameter) located in the central bundles are arranged parallely in a relatively long distance as a countercurrent system. The longest distance is about 12 mm.3. Each arteriole of the central vascular bundle supplies an independent area of the dentin of the tooth. The territory of an arteriole is about 700 to 1400 ?m in length.4. The arteriole of the central bundle breaks up into capillaries (4～6?m in diameter) which are mainly distributed over the odontblast area and form a complex 3-dimensional plexus.

Objective To investigate the histomorphology,cellular biocompatibility in vitro and tensile force resistance property of fibrin-binding amniotic membrane(FBAM)and to explore its feasibility and superiority using as ocular surface graft.Methods After observing the morphology of FBAM under light microscope and scanning electron microscope,we did primary culture of corneal epithelial cells,taking monolayer fibrin-binding amniotic membrane as carrier,then observed cell growth overlay area.The elongation nature of FBAM was tested on electronic universal testing machine by calculating elastic modulus,using bilayer amniotic membrane(BAM)and monolayer amniotic membrane(MAM)as controls.Results The fresh FBAM was integrated as a whole,with structurally complete fibrin and amniotic membrane as well as tight binding of fibrin to amniotic membrane.The reserved FBAM was structurally complete,brittler than the fresh FBAM,while amniotic membrane still bound tightly to the fibrin,but under microscope the fiber reticular formation was fairly fuzzy.Single layer of epithelial cells was formed on FBAM after about seven-day culture in vitro.Disparity of cell growth overlay area was significant(P

The microvascutature of the adrenal medulla in the rats and mice were studied by scanning electron microscopy of vascular replicas.There are portal venules between the adrenal cortex and medulla,which are the side branches of the collecting venules of the adrenal cortex and break into capillaries at the adrenal medulla.The adrenal medulla in mice is mainly supplied by these portal venules,and in a rat adrenal medulla,there are also 5—8 medullar arterioles besides the portal venules.Ring-like constrictions appear to be the characters of sphincter at the ending parts of the portal venules,the branches of the medullar arterioles,the collecting venules,and the medullar venules which drain the medullar capillaries as well.The authors believe that the adrenal cortex controls the medulla by the way of the portal venules.

OBJECTIVE:To evaluate the effect of special rectification on the rational use of antibiotics and relieving bacterial resistance. METHODS:It was divided into groups based on the before and after 3 years of special rectification. The data of related index and bacterial resistance of antibiotics in the clinical use in 2 groups were compared. RESULTS:After special rectification, the use rate of antibiotics in inpatients was decreased from 77%to 55%,use intensity was decreased from 86 DDDs/(100 person· d) to 39 DDDs/(100 person·d),the prophylactic use rate of antibiotics for typeⅠincision surgery was decreased from 98% to 27%,the antibiotics prescriptions of patients in outpatient and emergency departments were respectively decreased from 36% to 12% and 49% to 23%. The submission rate of microbiological testing specimens was increased from 20.2% to 38.8%,submission rate of sterile site specimens was increased from 29.8% to 37.6%. The detection rate of fungus was decreased from 14.4% to 11.2%. The detection rates of Escherichia coli and Klebsiella pneumoniae producing extended-spectrum β- lactamases (ESBLs) strains were respectively decreased from 57.3% to 51.3% and 43.2% to 36.1%. The total detection rate of top 5 multi-drug resis-tant bacteria was decreased from 48.4% to 29.3%,however,the detection rate of Acinetobacter baumannii was increased to 80.7%,and the resistance rates of Acinetobacter baumannii to imipenem and meropenem were respectively 66.9% and 69.1%. There was an increasing trend for Klebsiella pneumoniae to 1,2 and 3-generation cephalosporins,piperacillin amoxicillin/tazobac-tam,imipenem,meropenem. CONCLUSIONS:Special rectification of antibiotics has obvious effect on the rational use of antibiot-ics and relieving bacterial resistance in the clinic,and it improves the management of clinical use of antibiotics in hospital. Howev-er,bacterial resistance situation is still grim,it needs to establish a long-term management mechanism of clinical use of antibiotics, strengthen the monitoring pathologic examination and monitoring of bacterial resistance,and strictly perform hand hygiene and dis-infection and isolation system.

Objective To evaluate the performance of Mindray TSH chemiluminescence immunoassay ,including imprecision , limit of detection ,functional sensitivity ,interference ,cross-reaction ,and calibration consistency .The purpose was to confirm Mind-ray TSH assay meets the criteria of IFCC standardization and harmonization of thyroid functional tests .Methods The CLSI guide-lines defined in EP documents have been followed to measure the limit of detection ,functional sensitivity ,specificity ,imprecision and calibration consistency of Mindray TSH immunoassay on CL2000i system .Results Limit of detection was 0 .001 5 μIU/mL ,func-tional sensitivity was 0 .013 μIU/mL ,the correlation coefficient of linearity was 0 .999 in the range of 0-98 .95 μIU/mL .Mindray TSH calibrator C0 spiked with luteinizing hormone (LH) up to 500 mIU/mL ,follicle stimulating hormone (FSH) up to 500 mIU/mL ,or human chorionic gonadotropin (HCG) up to 200 000 mIU/mL detected no cross reactivity (detected TSH was less than 0 .2μIU/mL) .Hemoglobin up to 500 mg/dL ,bilirubin up to 10 mg/dL ,triglycerides up to 1 800 mg/dL ,and protein up to 10 g/dL showed -6 .91% ~8 .60% bias in TSH measurement .The total imprecision of two controls (high and low levels) and three serum specimens were in the range of 3 .24% and 5 .34% .Calibration consistency which had been demonstrated with high and low controls were measured between -6 .58% and 5 .26% .Conclusion The performance of Mindray thyroid-stimulating hormone assay meets the criteria for IFCC standardization and harmonization of thyroid function tests .

Objective To explore the relation between the infection of Helicobacter pylori (H .pylori)and colorectal tumor.Methods From January 2012 to January 2013,the medical data of 152 patients with colorectal tumor were collected.According to the findings of colonoscopy examination, the patients were divided into the colorectal adenoma group (84 cases)and the colorectal carcinoma group (68 cases).A total of 88 healthy individuals were also enrolled as control.The differences of H .pylori infection were compared among the colorectal adenoma group,the colorectal carcinoma group and the healthy control group.The distribution of H .pylori infection in different age,gender and nation was analyzed in colorectal tumor group.According to the location,maximum diameter,number,type of pedicle and pathological type of adenoma,the colorectal adenoma group was divided into subgroups and the condition of H .pylori infection was compared among the subgroups.Chi-square test was used in the statistical analysis.Results The positive rates of H .pylori infection of colorectal adenoma group, colorectal carcinoma group and healthy control group were 70.2% (59/84),72.1 % (49/68)and 53.4%(47/88),respectively,where the former two groups were both higher than that of the healthy control group,and the differences were statistically significant (χ2 =5 .147 and 5 .637,both P <0.05).Regarding the H .pylori infection,there was no difference in age,gender and ethnicity among 152 patients with colorectal tumor (all P > 0.05 ).Among 84 patients with colorectal adenoma,there was no statistical difference in the positive rate of H .pylori infection in different location,maximum diameter,number, type of pedicle and pathological type of adenoma (all P > 0.05).Conclusion H .pylori may have promoting effects on the genesis and development of colorectal tumor.

The microvasculature of the submandibular glands of guinea pig's was studied with the replica-SEM msthod. Special attention was paid to the microvascular architecture around the glandular ductal tree, which is mainly dichotomous, but usually asymmetrical and irregular, with a divergent angle of 40-80? and 7-8 grades of branching. The ductal tree is surrounded with a periductal vascular plexus. The periductal plexus of the excretory ducts can be divided into two layers: the inner layer is formed by capillaries and the outer layer by veins, so called venous coat. This venous coat is complexly constructed with button veins, loop veins and complicated venous circulatory by-passes. The capillary plexus of the striated ducts and intercalated ducts is supplied by venules with the cha-ractristics of the portal vein as they come from the capillaries of the acini. There are complex A-V and V-V anastomoses at the venous coat and at the lobu-lar porta.The significance of the microstructures described above was discussed.